Barlow Isobel, Brown Richard J
Care in Mind Ltd., Stockport, UK.
Centre for New Treatments and Understanding in Mental Health (CeNTrUM), School of Health Sciences, University of Manchester, UK.
Psychol Psychother. 2020 Jun;93(2):408-427. doi: 10.1111/papt.12231. Epub 2019 Apr 19.
Assessment of psychotherapeutic competence is increasingly regarded as important in the delivery of psychological services and training programmes. This article reviews tools designed to assess clinical competence in psychodynamic, interpersonal, and relational models of therapy.
PsycINFO, CINAHL, and Web of Science online databases were reviewed using terms relating to competence, psychotherapy, and measurement. Titles and abstracts of all articles were screened, and full texts of remaining articles were read. Reference lists of included articles were also screened. Papers that described a measure of psychotherapeutic competence in a psychodynamic, interpersonal, or relational model, and reported at least one assessment of the reliability and/or validity of the measure, were included. The quality of the studies was evaluated, and the quality of individual measures was summarized.
Fourteen studies met the inclusion criteria, examining 13 competence measures for 12 specific models of therapy. Competence measures were not found for several NICE-recommended models of therapy. Some measures demonstrated strengths in certain areas of reliability and validity; however, there were a number of quality issues in development and psychometric properties that suggest none of the measures are currently proven for widespread use.
Further research is required to refine currently existing measures and develop new measures for key NICE-recommended models of therapy.
Assessment and improvement of therapist competence is key to provision of high-quality psychotherapeutic interventions. This review shows there are few measures of competence in relational therapy models and several NICE-recommended models do not have corresponding competence measures. Measures that do exist are mixed in terms of their validity and reliability and should therefore be used with caution.
在心理服务和培训项目的提供中,心理治疗能力评估日益被视为重要事项。本文回顾了旨在评估心理动力、人际和关系治疗模式临床能力的工具。
使用与能力、心理治疗和测量相关的术语对PsycINFO、CINAHL和科学网在线数据库进行了检索。筛选了所有文章的标题和摘要,并阅读了其余文章的全文。还筛选了纳入文章的参考文献列表。纳入的文章需描述心理动力、人际或关系模式下的心理治疗能力测量方法,并报告该测量方法的至少一项信度和/或效度评估。评估了研究的质量,并总结了各个测量方法的质量。
14项研究符合纳入标准,检验了针对12种特定治疗模式的13种能力测量方法。未找到针对一些英国国家卫生与临床优化研究所(NICE)推荐的治疗模式的能力测量方法。一些测量方法在信度和效度的某些方面表现出优势;然而,在开发和心理测量特性方面存在一些质量问题,这表明目前没有一种测量方法被证明可广泛使用。
需要进一步研究以完善现有测量方法,并为NICE推荐的关键治疗模式开发新的测量方法。
评估和提高治疗师能力是提供高质量心理治疗干预的关键。本综述表明,关系治疗模式中的能力测量方法很少,一些NICE推荐的模式没有相应的能力测量方法。现有的测量方法在效度和信度方面参差不齐,因此应谨慎使用。